| NPI | 1467080515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OK 45206) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301510765) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2025-06-12 |